DA Champions Application

The Domestic Abuse Champion agrees to:

• Attend the full two days DA Champions Training
• To attend at least one network event annually
• Pass information between their agency and the Champions network
• Maintain up to date information in relation to available services
• Ensure domestic abuse materials are displayed within their agency
• Contribute to the development and effectiveness of the Champion network
• Information being shared around attendance at the training sessions, with line managers

The organisation agrees to:

• Support the champion in spreading awareness of domestic abuse and its impact, response to disclosures, and sources of support
• Enable the champion to have time to attend networking events and training
• Provide an environment that encourages disclosures of domestic abuse and provides information about support services
• Facilitate the champion cascading learning and information to the organisation and sharing this with colleagues
• Support and encourage the champion with their responsibilities

Data Sharing Agreement

I understand that my information will be kept in Leeway’s internal database. Leeway Domestic Violence & Abuse Services will use your information for the following purposes:

• to collect statistical information
• Share collected data with NIDAS Partners, other Domestic Abuse Champions/Your Agencies /Commissioners and Funding Partners
• to keep a working record of our involvement with you
• to help evaluate the work that we do

You can withdraw permission to use your personal information at any time by contacting dachampions@nidasnorfolk.co.uk You have the right to ask us what information we hold about you, to do this please contact admin@leewaynwa.org.uk